SCOTTY ORTEGA PA
Marriage and Family Therapists at Hinkle St, Odessa, TX

License number
Texas N3963
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: SCOTTY ORTEGA MD
Title: CEO
Phone: (432) 940-3240
Address
Address
4415 Hinkle St, Odessa, TX 79762
National Provider ID: 1043517204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SCOTTY ORTEGA PA

Odessa, TX

Status:
Inactive
Registration:
Feb 10, 2011
Addresses:
801 N Grant Ave STE B, Odessa, TX 79761 (Mailing)
4415 Hinkle St, Odessa, TX 79762
State ID:
0801382718
Business type:
Professional Association
Director, Member, President, Secretary, Treasurer, Vice-President:
Scotty R. Ortega Director, Member, President, Secretary, Treasurer, Vice-President, inactive
Agent:
Scotty Ortega,801 N Grant Ave, Odessa, TX 79761 (Physical)
TIN:
32043581415

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